My Mom (92) has been in a NH for about 1.5 years after setbacks after a major surgery. She had shingles 40 years ago and lost most her her right eye vision, lately she has had a second bout of shingles, 2 major UTIs, and has lost most of her left eye vision due to the shingles. When her vision detiorated, so did her walking (I think due to fear), and had to stop PT, and she got weaker and she is now in her wheelchair and 2 assist. I estimate her to be about a level 6 in dementia, but she is still so happy and singing, and is still pleasant and fun to be around, and I visit her daily to hang out and help her with her lunch.
My problem is with her frequent falls lately. Since December she has fallen from her bed 4 times, 3 with injuries. She’s has slid/fallen from her wheelchair 4 times, latest was last night. I’ve met with the Nurse Manager, the NP, the DON, and the Ombudsman for ideas and to impress the need to keep her off the floor. In NY you cannot restrain residents in any way and even her wheelchair alarm has been removed as considered a restraint. So we are looking for ways to prevent falls, or at least minimize the damage to herself if/when she does fall. So far we have implemented theses precautions but I’m grasping for more ideas to keep her from injuring herself if/when she falls:
She is on 15 minute bed checks.
Got her a wheelchair pad with more traction. She still managed to fall from it last night however.
Got her a wider twin bed, and lowered it to the floor.
Placed pads on the floor on each side of the bed.
Moved tray table and wheelchair away from the bed while sleeping.
Padded sharp corners on her low furniture like footboard and a/c unit.
Placed her pillows to kind of make her a well in the bed (I was told this is considered a restraint so we do it on the downlow)
Placed her call bell disc near her bum so if she rolls that way it goes off.
Does anyone have any more ideas?? I’m really afraid she’s going to break a bone one of these times and that will be the end of it. Thanks so much!